Chapter 107: Emergency PCI Technique
Of course, Wu Xiangdong's main purpose is to discover the lesion through angiography, and then remove the focus of acute myocardial infarction through balloon dilation.
This kind of treatment plan that directly reaches the lesion has unique advantages compared with traditional thrombolytic treatment. This is why cardiac interventional surgery has developed rapidly in recent years.
"This, this can't be the kind of PCI surgery for myocardial infarction emergency that I saw in foreign magazines before."
Even though this guy from the Department of Cardiology is a bit arrogant, he is also a master of medicine who has gone through systematic study.
Therefore, when Wu Xiangdong said he wanted to perform cardiac angiography on the patient, he had already inferred the treatment Wu Xiangdong would give the patient next.
"Oh, I didn't expect you knew a lot." Wu Xiangdong nodded to the young man with approving eyes. After all, PCI treatment of the heart was as rare as the young man's graduate degree at that time.
At that time, except for some general hospitals in big cities that had PCI treatment methods, some county and city-level hospitals in small cities had not even heard of this treatment method.
"Um..." Facing Wu Xiangdong's praise for him, the young man felt a little weird. It felt like he was receiving praise from his instructor after answering questions in class.
Wu Xiangdong's anti-customer behavior made the young man very uncomfortable. After all, he was a cardiology doctor, but Wu Xiangdong's words and deeds made him unable to find any loopholes.
"Then if the patient is really like you said and received PCI treatment, can his symptoms of myocardial infarction really be cured?" The young man lowered his head and clasped his nails. After a brief hesitation, he asked cautiously.
At this time, he still had no arrogance at the beginning. When facing Wu Xiangdong, he was as docile as a kitten.
Faced with the young man's inquiry, Wu Xiangdong was full of confidence. He said loudly: "Come, help me push the patient into the radiography room. The next moment will be when you witness the miracle."
…
"Crazy, crazy, simply crazy." Dr. Kong scratched his head and watched helplessly as Wu Xiangdong and others pushed the patient into the radiography room.
Just now, he tried to prevent Wu Xiangdong from performing coronary angiography on the patient.
After all, Dr. Kong has never been exposed to such a difficult operation. Before, even if he did a small lower limb angiography, he would be worried for a long time, fearing that it would cause harm to the patient.
But in the end, under pressure, Dr. Kong agreed to Wu Xiangdong's application. After all, a living person is lying in front of you, and the only way to save him is the way in front of you.
So after struggling, Dr. Kong gave up and took out all the materials he had just introduced for Wu Xiangdong to use.
The patient lying on the rescue bed at this time was experiencing extremely painful torture. Even though Wu Xiangdong had given him morphine for pain relief and nitroglycerin for coronary enlargement, it still could not completely relieve the patient's pain.
"Are you all ready? Be careful to lift and place gently so as not to irritate the patient again." Wu Xiangdong looked at everyone with a serious expression. At this time, the patient had been pushed to the examination bed in the radiography room.
This is the most fearful patient Wu Xiangdong has encountered so far, because if he is not careful and the patient's heart is stimulated during the transportation, it is very likely that the blocked blood vessels will be directly occluded. By then, it is estimated that even the operation time will be shortened.
Too late.
Hearing this, everyone's throats surged and their expressions became extremely nervous.
At this moment, they also knew full well that the next move might be related to the patient's life.
"Doctor Wu, just tell us what to do, and everyone will listen to you." For Li Yanan, who participated in the entire rescue process, she would choose to trust Wu Xiangdong unconditionally in any decision he made.
"Okay, after the patient is moved to the radiation board, someone needs to stay with me in the radiography room to help me complete the implantation of the arterial catheter and the angiography." Wu Xiangdong said truthfully.
After all, according to the current conditions, it is impossible for one person to complete the operation. The entire process requires an assistant to assist, otherwise problems will easily occur.
It's just that it's a bit unfair to the person who stayed, because he had to follow Wu Xiangdong in the radiography room to undergo radiation throughout the whole process.
Even if they wear heavy lead clothes, and have lead caps and baffles for protection, they will still feel fearful and uneasy under the continuous exposure to X-rays.
Just when Wu Xiangdong was worried about the fate of his personnel, something unexpected happened.
The originally quiet studio was suddenly filled with sounds.
"Doctor Wu, I'm not afraid, let me do this!"
"Xiangdong, let's cooperate. After all, we have experience in this field, so we can work together easily."
Li Yanan and Wan Zhihua spoke one after another. There was no hesitation in their expressions and their attitudes were very determined. Faced with Wu Xiangdong's request, they almost simultaneously chose to stand up and help him, which moved Wu Xiangdong.
After all, cardiac angiography is no joke. Even in modern times where medical technology is developing rapidly, there are still certain risks, not to mention that it was still in 1999, when domestic hospitals were in the early stages of development.
But just when Wu Xiangdong was about to reply to them, the young man who had not left suddenly stood up.
"This is a PCI surgery on the heart. How can ordinary laymen assist? If you want to assist, I have to do it."
His words made Wan Zhihua and Wan Zhihua stunned. Although this man's words were smelly and unpleasant, what he said was not wrong.
Professional people have to do professional things. People like them who are not from cardiology will only cause trouble to Wu Xiangdong and hold him back if he encounters problems during the assistance process.
"Are you coming to help me?" Seeing the young man volunteering, Wu Xiangdong was a little surprised.
However, the young man said nonchalantly: "I admit that my skills are inferior to others, and I can also apologize to you for being unreasonable just now."
"But professionalism is professionalism, and I can't be careless. I have to be responsible for the patients with my own disease. In this case, I definitely can't stand by and watch."
Even though the young man looked like he didn't deserve a beating, his words were not harsh, so Wu Xiangdong thought twice and agreed to the young man's request.
"Here, first move the patient to the examination bed and lie down. Later I will insert a catheter from the radial artery on the patient's right side, and then pass it through the brachial artery, subclavian artery, and brachiocephalic trunk, also called the innominate artery.
, the ascending artery, and the aortic root enter the patient's left and right coronary ostia."
Chapter completed!